Schizophrenia

Question 1

Criteria A
Criteria B
Criteria C
Criteria D

Answer 1

A: active phase signs and symptoms
B: social occupational dysfunction
C: time duration
D: another diagnostic explaination

Question 2

Disorganized thinking

Answer 2

positive symptom
Derailment
Loose association
Tangential speech
Incoherence or word salad

Question 3

Negative Symptoms

Answer 3

1. affective flattening
2. alogia
3. avolition
4. anhedonia

Question 4

Schizophrenia A criteria

Answer 4

need 2 of the 5 
(1 must be positive symptom)
Positive Symptoms:
1. hallucinations
2. delusions
3. disorganized thinking
------
4. disorganized behavior
5. negative symptoms

Question 5

Downward drift hypothesis of Schizophrenia?

Answer 5

socio-occupational dysfunction of schizophrenia results in people who start out with resources and then gradually lose them
33% homeless

Question 6

HOw long to meet C?

Answer 6

6 months

1 month where criteria a is met

Question 7

Psychotic disorder

Answer 7

symptoms

Question 8

Schizophreniform

Answer 8

greater than 1 month less than 6 months

Question 9

Schizoaffective disorder

Answer 9

major mood episode is concurrent with criterion A of schizophrenia. major mood symptoms present for majority of the total duration of illness; at least 2 week period of hallucinations or delusions without mood symptoms present

Question 10

What symptoms overlap in bipolar with psychosis and schizophrenia?

Answer 10

grandiosity (delusions?)

flight of ideas (disorganized speech)

Question 11

What symptoms overlap in major depressive disorder and schizophrenia?

Answer 11

negative symtpoms

Question 12

What medications may look like schizophrenia?

Answer 12

steriods

Question 13

What is the ratio of male to female with schizophrenia? What is the peak age of onset?

Answer 13

male=female
male: 15/18-25
female: 25-35/45
males more severe

Question 14

What is the strongest predictor of a good outcome in schizophrenia?

Answer 14

initial good response to medications

Question 15

Does schizophrenia cause cognitive impairment?

Answer 15

SMART
S-speed
M-memory
A-attention
R-reasoning
T-tact 

Anosognosia-lack of awareness of illness

Question 16

How high is the attempted suicide risk for schizophrenia?

Answer 16

50X normal population

higher risk: period after psychotic episode or hospital discharge

Question 17

What is the genetic risk of schizophrenia?

Answer 17

no family history 1%
sibling or 1 parent 10%
both parents 40%
identical twin 50%

Question 18

Are people with schizophrenia often victims?

Answer 18

yes

Question 19

What are risk factors for violence from schizophrenia patients?

Answer 19

1. concurrent alcohol or substance abuse
2. noncompliant with meds
3. past history of assaultive behavior

Question 20

Are schizophrenia patients have higher rates of obesity, dyslipidemia, hypertension, diabetes and cigarette smoking?

Answer 20

yes

more die from cardiovascular disease